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Home My WebLink AboutZ-80411~0~3~ NO. 4 TOWN OF SOUTHOLD BUr[,DI~G DEPARTM~IT Town Clerk'~ Office Southold, N. Y. Certificate Of Occupancy No. ~' ~: 0 t~ ~ Date lg THIS CERTIFIES that the building located at ............................ Street Map No...~ ........ Block No.?x ........ Lot No..X,...~]~.~.' .~..~..!~..dj~..~. ~-~..,.~.'/.,.0.~ conforms substantially to the~ '~ ~'~- ............. ~.?~. ~$., 19~.~. pursuant to which~ No.~.~,6~ dated ....... ~.~.¢,~.. ~. ...... , 19~.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is ~ued is .p~l.u..~..-r.~/~.i ~ ~ .,/...p.u~:ca,.~. 5-. ....................... The certificate is issued to ~..,g. ~. ,,/,..~,~/~ ~ .~.~,,~ ...... ~ ~.~Tg-J~... .............. (o~er, lessee or tenant ) of the aforesaid building. Suffolk County Department of Health Approval ~D~.~ .~...~1~, i .i..T. ( .~J. ~ .............. UNDERWRITERS CERTIFICATE No .... ~. ~.~...-..~.. g. ~ >. X ./.L~...~'. ............... HOUSE NUMBER..~./.O. ...... Street ../~.i.~Cb.. ~/.c~u.../- A.' .... ~c. Housing Code Inspection December 5, 1977 710 Islandview Lane R-1 Greenport~ NE Tax Roll - George J. Blitz Occupancy-seasonal Upon receipt of an application for 3. Pre-Existing Certificate of Occupancy I made an inspection of the building on this premises. Accompanied by Steve Rutko~ki I began this inspection at approximately 9:20 A.E. This dwelling is a one story wood framed structure constructed on a cement block foundation snd contains two bedrooms, a full bathroom, kitchen and a living room. A roofed over screened enclosed porch is located on the east side of building. All rooms within dwelling have al~l electric radiant heating unit with individual controls. A lean to enclosure on rear of building houses electric hotwater heating unit. Foundation of building provides crawl space. The following violations of the Housing Code, Chapter 52, Code of the Town of $outhold, N.Y. were found: Cookin~ Ranze -no shut off valve at unit-Article V, Section 3.2 Exterio~ wall -on west side of ~living room -opening between wall and fireplace structure,tr~ against masonry on exterior is rotted and caulking has shrunk away from masonry. Article III Section ~2-30 C & Section 52-31B. Inspection completed at approximately 9:$0 A.M. Re s~ t fullY/~ Ubmit ted, Edward~ Hinder~ann- Building Inspector II I5 L2ktd D Vt~_\V LAME" ( p~z~VA'f ~. ~.o ~,.~ ) MOT~: t'o ;~E NOM: T~TLF= DIN,'.- FO~ NO. 6 TOWN OF SOUTHOLD Building Department Town Cle~.s Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pta-existing" land uses: I. Accurate survey o'f property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 /) , '' 77 New Building .................... Old or Pre-e~xistjng Building~......~..~,~ .............. Vacarl~ Land Location Of Property '~"/"~'~'"'"~~"'~'~'"~'"~'~'"'~/"~'7'' ~--~ / ~ner Or ~ner' Of Pro ed '~ ~' '~ . Permit No. ~ Dote Of Pe~it ...... ~J~'...[ ....... Applicant ..................... ~ ............................................ Health ~pt. Approval .........................[. ................. Labor ~pt. Approval ................... ~ ............................ Unde~riters Approval .............................................. Planning B~rd ~proval ..... ~; ................... Request For Tempora~ Ce~ificote ........................................ Final Ce~ificate ........ ~ ............................... ,. ..................... Construction on above described building and permit meets all applicable codes and regulations. Applica~~ ...................................................... ','" / /:i77 Sworn to before me this day Notary Public ...... '~-~ ' '~/.~., County (stam~r seal)